My oncologist report says
"She does not have palpable lymphadenopathy, and the results
of the CT scan of the CAP does not show evidence for lymphadenopathy, or splenomegaly. This is consistent with stage I disease.
Reviewed the implications of mantle cell NHL, and how it can be a very aggressive tumor, and often requires aggressive high dose
chemo/immunotherapy and bone marrow transplant for long term disease control. However, for patients with early stage disease, normal
LDH levels, and no evidence for lymphadenopathy/splenomegaly or bone marrow suppression, observation is an appropriate response, as it
can take several years for the disease to progress.
If she shows progressive lymphocytosis, or develops new lymphadenopathy, will set up a staging PET/CT scan, and consider induction
chemo/immunotherapy, or referral for evaluation of high dose chemotherapy and ABMT. Because of the recent increase in the lymphocyte
count, will repeat a CBC in 3 months.